| NPI | 1992228381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA FARELLO Registed Dietitian 954-806-2281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: FL ND6372) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2022-07-21 |